Dr. William Samuel Havron III
Surgical Critical Care
77 W Underwood St Ste 200
Orlando
, Florida 32806-1122
Dr. William Samuel Havron III
Surgical Critical Care
77 W Underwood St Ste 200
Orlando
, Florida 32806-1122
(407) 245-7059
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About
Features
Specialties
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Dr. William Samuel Havron III
- 77 W Underwood St Ste 200
- Orlando, FL
- Zip : 32806-1122
- Fax : (407) 245-7059
- Phone : (407) 649-6884
Second Address
- Dr. William Samuel Havron III
- 77 W Underwood St Ste 200
- Orlando, FL
- Zip : 32806-1122
- Fax : (407) 245-7059
- Phone : (407) 649-6884
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0102X | Surgical Critical Care | ME121404 | FL |
National Provider Identifier
| NPI | 1053522052 |
|---|---|
| Provider Name | Dr. William Samuel Havron III |
| First Address | Orlando, FL 32806-1122 |
| Second Address | Orlando, FL 32806-1122 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2007 |
| Last Update Date | 15/11/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 013634100 | (05) | FL |
| ME121404 | MEDICAL LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.